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HomeMy WebLinkAbout40894-Z �Su�ot� TOWN OF SOUTHOLD �� �'��,� � BUILDING DEPARTMENT � � TOWN CLERK'S OFFICE ' o • � SOUTHOLD, IVY `��,al � ��� '� BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES � WITH OiVE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40894 Date: 8/9/2016 Permission is hereby granted to: Elliot, Nancy 2200 Harbor Ln Cutchogue, NY 11935 To: demolish an existing swimming �aool as applied for. At premises located at: 2200 Harbor Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-1-27 Pursuant to application dated 8/3/2016 and approved by the Building Inspector. To expire on 2/8/2018. Fees: DEMOLITION $100.00 Total: $100.00 f , ' g Inspector . , � TO;WN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING D�PARTMENT - � , � � •.. �� - ` f� , ��:=Do.yoit�have or need the:following,�before applying? TOWN HALL �B�ard�of L-iealth�,, ' t��: � SOUTI�OLD,NY 11971 �- • � 4 sets of Building Plans TEL: (631) 765-1802 ., . _ ._ . , ;Pianning:B'oard�approval :� ��_. �" FAX: (631) 765-9502 ' I �� , / Survey SoutholdTow�:No'rthFork.net PFI�MIT NO. '�"�C�.`7:�(' " .t� . _.'Check �'•fr 'i ��� . , �� � _ � . . , .: ' , ,-�{-„ ,'� ;� ` Septic Form - . . ` N.Y.S.D.E.C. . � Trustees - - ` - • - � Flood Permit --- ' �� ,_ i Examined� " • ' ,20 '� �°-�� '" `' ' f Storm-Water Assessment Form _ .' �. , , �� , ,r ,�,f,, � � , . -, ' _ �_ Contact: ;�As�:"_;.;. ; , _ . �•t . . . � , .,r� :i ', . ._ ,!;. � .,t . , Approved ,20 ��� " �� �` � �� �Mail to: � �� Disapproved a/c . . . � ;- , ;s: ,. -. . ,, , �: �� .. ,� �:>� . 3 • +• � �._ Phone:�,.�J— 7[��—��o�,b Expiration ., ,20 . ' - . .♦ , � '; " ` ,. . ,` r' � • • ' �'� � � ,. ,� � • _� . '.i'�'� ' p ����� � . ,-;Buildirrg.Inspector;.,., . , - ,±- � , , _ , ,, � � D � -� ���� ,��� . � _ � � APPLICATION FOR�UILDING PEI�MIT A�G m 3 2��� , 7 . , . . . - - - �-- .- : _ . � . , ..:�� Date w t .3, -,•20� BUILDIlIIG DEpT. INSTRUCTIONS TO@VN OF 50UTHAI.D . - . . . � '� _ . _ . _. � , ,x ' . � a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to sct�edule. -,,,�, ; ,- • , �, •. - � � b. Plot plan showing Iocation of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. , , , , . a The work covered by this applicatiori�may not`be coinmeri�ed�before issuance of BuildingPPermit.� � � � � � d. Upon approval of this application,the Building Inspector will issue.a Building Permit to the applicant. Such a permit, , shall be kept on the premises available for irispection'througho'ut�the work: �`'' `fi � ' :: .`. ��� �. �� �. ' .. '�', ' � ' e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy: ' �s� ''� . ." �. �'`- ''`_ � . .� . � . � r ._ `` _ ' ' � ' ' . .- " ' � , . � °. ' , f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of � � issuance or has not been compl�tecl'within._18 months from.such"d`ate:If no zoning amendments�or dther i�egulations'affecting'the properiy have been_enacted in the:iriterim the Building Inspector�anay authorize in writing,_the extension oftheiperrriitfor,an __ �., �_ _�_ _. �_ � .._..._._ addition six months. Thereafter,,a new permit shall be required:<< -,;_,�, �,,�, '�t -, �� s� ` APPLICATION IS HEREBY�IVIADE to the Building Department for�the issuance'of a Building�Permit pursuant to the Building Zone Ordinance,of the Town of SoutholdJ Suffolk,County,.Neu�PYork, and;other applicable�Laws, Ordinances.or r ; . Regulations, for the constructio,n�of buildings, additions, or-alter-ations or for remoyal;or;demolition-as herein described.,The applicant agrees to comply with all applicable laws„ordinances,�building code,�housing-code,.a�d regulations, and to admit� i „ t��: '' '�1(.��;..,', .r.?"�:t 1 t i i �.^ . s !..t' .. - authorized inspectors on premises and in building for necessary uispections., ,� � ` ' �� ���'$b���`��Q �� .,.-� r: � . � °; . ,� �� � a ' �"�v��� Qp,#�..-�•`"� '�' `� `- '` �� •' '' '� '�- `��''(Signa"`eof � pli ari or e,if�ac rporation). , ��-�E n � .f. m�� �� , , _ �/ � '�� �� •+ . 1 ' � '�� ���,��`��-• ,a,�t'�!�1�`�, � . . �.o�o a�i�' ��2'�`i�i�Y:.r�"���� �� //��'�' �p�1(��� V U�1�C�rlNCz ')`s:`�' "(N � �,,�� �rC�F� (Mailing address of app�fcant) � `1L\J�� � S`^.{V1 �J , �J. ;� � • 1l. :.F � .r�r . � i 1�! ,. 'II . ;t�' rs� , i� � �k_ D2 q,c FG����' �D State whethe�ap����an�i§�aPwnex;Lessee���agent, architect, engineer, general contractor, el'e`ctrician;�plumber or build'e'r G �UF��� �G��'��� ra - �- C�. �, 1. ro`i-� PQ �n nb.;,ll�dl:a �. PL�np,�1N�� , , ., .', ' ' � _C� ,1 �H . , ,n-- r �' "UU, n110� , r"(�(�T�� �V��JS, � �Vl�Ji7� �'Name o� owner�gfi��v�lses-,;�� ��;�-�' ,_ .yq_ G� _ � �. . ' r� � 4. F��aAL �,qp��?� �"" 5����.i.����G '��(As on the tax roll or latest deed) � �CQ -, ��1 0�� , � • � t-,L�7�� �� If applicant is a cor�'��S att�o�,rsg'si i�atura��rd��l���it1�C��zecl of'ficer' ` �,,, �,�.f;-i't-q ¢', ��:-�' - F ��� , , .- , A�� � �M�1�11� Uk- ��SpUP1S�� �RS. �.`�s,,t,t�-,;� ,..,..,, . �, . � ,.��J��1,1'v,(;,t� �� N f q'��y`�'�� 6at. •F�, C� (Name.ari' �.6���rp�qr�tg�o�fc���� � , '�r��~ �� i n y ref-� ''-�tY'!'. , , !'��`' `(�'' r �ir`� .Jee�✓ a�ia '��� �� a L� ^� { ��-�,j , ;'��J�G�,:OR , - - - �c�j �_{[�s�l✓� ZL .��,r• ' 1 Builders License�No.''��"'� ' '""''"'` � � �,,,� J{^"""�� pAftD Plumbers I,icenae No. � , ,1�; .s1: x�: t,.i,+; !j,-, ;r,? .r,�°,��""`;:� : . ,,�.'.i� � � �'��, ,.�� < , �, , -rc Electricians�License No. • - � i�-�� �� �� •. � ' � - • �'���;" �f• ' � � � '~� • • < < • � • ', ni et ,ti ! ,�a:+y+';"'"''.F� )i '� it.��,; t,i�r�W �6. �� �' �, Other Trade's License No. - � � ' � � � -��,� -��'?' � �� " � � � ' "m-�-- `,.�, .t_.v _t�.�-�- 1. Location of land o which proposed work will be done: �°P"`"`�s� . .' ' , . ' ` ,, , l � �/ / UV i�� .r. , � House'Number Street , -Hamlet � � ." ' ` , � � Ii �/ E�: iv}}t�f�. ' ' ' ; , 5 ". _ � tr� C. �� `` '� � '� County Tax Map No. �1000 Section " � �� Block ( � LotJ Subdivision ' Filed Map No. Lot ` , . , " � �C, _ , . � �( 2. , .State existing use and occupancy,of:premises and intended use and occupanc� of prQposed construcfion: w -:z: •��� � a. Existing use and oecupancy /�,�m�dAZ v� F�on G, . .,, : , - • � � � ' b. Intended use�and occupancy � � � "�C 3. Nature of work (check which�applicable)^:_New Building � ` kAd"dition > � ,a� ��� z Alteration'` ' � � � Repair Removal`�="w d Demolition Other Work �� `• ' ` � (Description) 4. Estimated Cost ` �` "'�' Fee - - , , ,, ,, � , .� (To be paid on�f ling this application) , 5. If dwelling, number of dwelling .units Number of dwelling units on each floor If garage, number of cars � � � �� � 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. � � 7. Dimensions of existing structures, if any: Front Rear Depth" Height Number of Stories ��������;�� `°.,�� � ��� � ��� �� Dimensions of same structure with alteratio'ns•or additions:�Front Rear � � , Depth Height Number of S T s r . �..�i�..� - ' , '1 " I p, -: tc. 1 ., n . . , �i i:'� ... ���6 F'� 8. Dimensions of entire new construction: Front Rear Depth Height .j Number of Stories ���,F[���a�,a����� ��� ,. . � : =� � ��, , ����`�.'����.�.�.�`�i��'�''��""�" 9. Size of lot: Front Rear Depth . . . . , , . is - , ,, . ,�5 . ' � . � . . . .�! ..' �. �� � , ,._ , ' . , 10. Date of Purchase Name of Forme'r�0'vvner�'t -� •= ' ' ;, . , . , . , , � � � . ,�, :� � ' � � � � '' ' .. a f� . ' . '. 11. Zone or use district in whieh premises are situated ' ' � . .�.�� . � . I�'� . .. ,t � � !` i ., f! . !i, . i �+ ' � � • i 12. Does proposed�construction violate'any�zoriing law,ordiii'ance'or`regulati,ori? YES a NO � � '� , ' �.{. _.�� �t. � - � � . . , ,� .! .. ' ., r�� •', .r��:; � � 1 ' ,. ,� � ;a,,�� . , , , , � _ � , 13. Will lot be re-graded? YES �NO Will excess fill be removed from premises?YES , , � :NO � i . - . . .,. � , �t " _ • ••'.t� • '�:.. . _ ...: ' ., .e .. �3 �ir `{r;i', , ���.-.'1 .-. ' . . ' � .. . , �• _, . .;•r.. , .. 14. Names.of:Owner=ofpremises,,�.��r�.,;<<�ts,�. �:s;t��x,�. �..; 'Address�:.� - .���, .�,:�. � ,,,, �:PhorieNo. ...: �. � Name ofArchitect �� • ��.;�• �1.44i a{�.•zt. x�� a�;:��::l.jAddress�•s�s��.: ;�:, :��i.<. r :�=�PhoneNo .j �� 1 ��, l� �� Name of Contractor Address-� ": �"�'3 '� =��:<� • . � ��phone-No.-���' ' " ' � � . . � ' .� r � ;"�, � { , � , i.fi�1:f: .s. .ii .�ri`%i`.,'3P`r`,. ,. � i ,� . . E . ' i . "` �'t �� l ' J . , i � { 15 a. Is this'prope'rty'withiri=l`�00 feet'of�a tidal wetl`arid'or•a fresliwate'r wetl,'and? *YES` ' �'NO ' � " � * IF YES;SOUTHOI;D�TO�WN`TRUSTEES'&.D:E''C.P�RIVIITS NIAY E REQLTIRED.' '�`' {, , .. .,..ynt ._ ,. 1. [rii i '') � 'i ".+l.'1 C tJ � ' t. , s. � . ' , � b. Is�this property witliiri�300 feet of a tid`al�wetlarid? *�YES NO , , , . , t}R . . C •' : ,. ' �� r . . � I � . * IF YES, D.E.C. PERMITS MAY BE REQUIRED.' �' ���' � � ' 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. , 17. If elevation af any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. � . � , . , - . �. , l� STATE OF NEW YORK) �a �� y�3 � SS: 0 COUNTY OF�u��cS`�;�) . , �� . , '�j � beirig duly sworn, deposes,and says that(s)he is the applicant (Name of individual signing contract) above named, " ' � CONNIE D.BUPICH " � '-' Notery Publ�,3tste�f New Yor�t , (S)He is the • -� • No.Of BU618�050 � (Contractor,Agent, Corporate O�cer, etc.) r;,r�l;,;r�i�qinn E ��" unn' xP A�arll 14,2�� of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file�this�application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be, • performed in the manner set forth in the application filed therewith.� � r , , . , Sworn o before me thi . . , , r day of 20� . . . , , -� , . ; . ., . . � �u,��,� ,� " . . __ . Notary Public igna e ofs pp 'can . . , �� . �{ � , . i .j . . � SURV�Y OF �'ROP�RTlES I SITU,4TE� GUTGHOGUE I TOWN: so�lol...� ' N I I su�OL� couH�rr, �rr �;�. _ I i SURVEYED OI-II-02 W ` � E . I � SUFFOLk CAUNlY TAX a � + ( 1000-103-I-21 IDOO-103-I-28 S I � ' � �LY'�ffil TQS: � I i �� I � � � i � � �5 r !I . ��y� i ' I i N i W . I N ' I @ , I Lpnd Nori or Fcrcnzrly�F � I Lloy��4v2� I I N82°Ol'10"E 14�.00'of � � � � p o_�— ^�- f I O�O HON Feio �� A� ♦n 1 �' V� ��•` O i �l a � _���� ��-- � ' � � g � � 2 5tory ; tn ` i � i p�pme p O ' I oo House o C�J i � � � v. o p � I o4 �4 �, - � � � 4 0 � �'�-� °F F �'��-�� � I I � 1 1 � i � � -. � , ti lo - n�wminous a'°0'� I I � � � � ,pGarag6 - ��� I I � � �` I � �I � I o ` ` x lot�Oo 0-1 0 3-o?2a) I�y I I u - � Ta �F.L 625M6 c� � - �� _. I I a � I >sl �Deed ���W � � �I r i '-- - --- �'-^ - n - _ - �� p'10� - 1 � � I ° ' ' I °o os� °��S$�s;a�" ���,,' 1���� I 3 � I i � �' '�, N82°Ol 10 E 4' I ,; ; i ^ , I � o l I � i . , Tax lotF10�0310 P�56) O ,. I I {Deed�- � � I `, I I � + I o O g �, � � I g� ° i 5= j I + I :� I � � ,.��a a ��e ��K' I � i 140.00 � ;:,o � d �;lo"w ' ' I ` .Sg2��1 Naa or Formariy oFLwo�y�h ` . � LOn� � nL'P L Pnyl1�9(7 I " � :�{-Z�IQ?�li�a y I I , � � � I I � , _ I ' I I ' � � I No'res� �Q,��c.ey��ya9 I � MONUMENT FOUND * � „m�- �•rn�~.�' ' I � � O PI?E FOU�ID �k .�...,,.�,...n�,.�,.,,, .� � � TOTAL AREA= 26A00 SF OR Ob4 AGRES �F\ • I �� _ -_ I iAREA TnX LOT 2"i - 14,000 SF pR 0.32 AGRES �SF� SQZO"� �`� ,'.-�Y,1„�`M'.Y+"'..'4 j I AREA TAX LOT 20 = �400 O SF OR 032 AGRES ����• ����� ��L�������� I i � � 6 EAST MAIIV STREEI' � I GRAPNIG SGALE I"= 30' NY.S LIC NO 502UZ I • , ,— ____ RIVERHEAD,N Y 11901 I�— _ 369-8258 Faz 369-8287 REE1�I-Ip serverW�pROS\02-222pro � � - -------- — — ---- -- _